PURPOSE: To develop a superconducting magnetic resonance (MR) imager t
hat provides direct access to the patient and permits interactive MR-g
uided interventional procedures. MATERIALS AND METHODS: A 0.5-T superc
onducting magnet that allows a region of vertical access to the patien
t was designed and constructed. This magnet was integrated with newly
designed shielded gradient coils, flexible surface coils, and nonmagne
tic displays and with position-monitoring probes and device-tracking i
nstrumentation. RESULTS: The magnet homogeneity was 12.3 ppm, and the
gradient field was linear to within 1% over an imaging region 30 cm in
diameter. The signal-to-noise ratio was 10% higher than in a comparab
le 0.5-T superconducting imager. Images were obtained in several anato
mic regions with use of routine pulse sequences. Interactive image pla
ne selection and near real-time imaging, with use of fast gradient-rec
alled echo sequences, were demonstrated at a rate of one image every 1
.5 seconds. CONCLUSION: MR-guided interventional procedures can be per
formed with full patient access with use of an open-configuration, sup
erconducting MR magnet with near real-time imaging and interactive ima
ge plane control.